JANICE TAVARES

BRIDGEPORT, CT
NPI1609428721
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: CT  8408)
Additional Taxonomies163W00000X Registered Nurse
(Licence: CT  107221)
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2019-07-09
Last Update Date2019-08-22
Business Address
JANICE TAVARES APRN
439 MILL HILL AVE
BRIDGEPORT, CT 06610-2866
Phone number: 203-334-2100
Mailing Address
JANICE TAVARES APRN
146 E GATE LN
HAMDEN, CT 06514-2234
Phone number: